HomeMy WebLinkAbout0407 Deciaration of Domicile and Citizenshi ~
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TO THE CLERK OF THE CIRCUIT COURT,
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ST. Ll1C 1 E ~putv~rY. FtARtnA:
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This is my declRration of Domkile and Citiseasbip ia the State oi Florida that I am filiag this day ta aecordan¢e. and in ~
toatormily with Section 222.1T. Fbrid~. Statutes. ~
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I wu formerl a legal resident ot ~Q r~ E.'t'C-e _ , C' ! C~ 1~~ CLQ and I ~
p/~ 1(~y) lSeatel ~
~sided at ~ 1~ ~ L p+ h However.l have changed mr domicile to ~
(St+eet ~ed N~mb~e) • . ~
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and am and have been a bona Gde resident o! tAe State ot Fbrids siaoe d~,l? ~
Q 19 aad I resIde at ~ V• ~ w+ h ~ U La r~ `
~OY'~ r~t'I -~~YC~F'_ _ , ST. LUG I E~•paN~me.r1 County.F'lorida, ?
lCit~1 . .
and this stalement is to be lakea aa my declantioa ot citizeaship. ~ctual kgal residenee and domieile in the State o1 Florida.
IF FOR THE PURPOSE OP ENROLLING IF' FOR HONESTEAD PURPOSES~
CHILDREN IN SCFtOOI~ PLEASE STATE . PLEASE CHECKS ~
tHEiR NAMES: -
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I FURTHFR CERTIFY that I wil! register at my {ocu! ~ddress when the registration books reopen. and comply with ~1!
other requirements of a legal resident of this State.
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! I FURTHE~ CE~'IFY that I have no intention to return to my former domicile, and I intend ta remain in
{ ~~~r ~('CF' _ ~ ST . L UC i E , Counly. ~
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E Florida, permanenti; .
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9 Sworn to and subscribed before me lhis j day o( `
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~ ROGER P011RAS, CIERK OF C IRCUI T COURT ~
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~ ST. LUCIE COUNTY, FLORIUA
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~ BY s ' `
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~ EPUTY LERK' '
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aOQK T.JO PASf 3
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ncci F•«<~T~ 7i '
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